Evidence map›Paper›PMID 33612540›Full record

ReviewJournal of Alzheimer's disease : JAD2021

Modifiable Barriers for Recruitment and Retention of Older Adults Participants from Underrepresented Minorities in Alzheimer's Disease Research.

Khushnoo K Indorewalla, Maureen K O'Connor, Andrew E Budson, Christina Guess DiTerlizzi, Jonathan Jackson

Open access · greenAbstract readReview
In one paragraph

Review in Journal of Alzheimer's disease : JAD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 pooled it
12.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 3 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
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  12. Cognitive screening biases in a secondary prevention Alzheimer's disease clinical trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Khushnoo K IndorewallaEdith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.
Maureen K O'ConnorEdith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.
Andrew E BudsonBoston University Alzheimer's Disease Research Center, Department of Neurology, Boston University School of Medicine, Boston, MA, USA.
Christina Guess DiTerlizziBoston University Alzheimer's Disease Research Center, Department of Neurology, Boston University School of Medicine, Boston, MA, USA.
Jonathan JacksonBoston University Alzheimer's Disease Research Center, Department of Neurology, Boston University School of Medicine, Boston, MA, USA.
Boston University · USEdith Nourse Rogers Memorial Veterans Hospital · US

Funding

Neuropathology CoreP30AG013846 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI KOWALL, NEIL W. · 1996 to 2020
$29.1M
Foundations of Representative Engagement, Valid & Effective Recruitment (FOREVER) in AD ResearchDP1AG069873 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI JACKSON, JONATHAN DAVID · 2020 to 2020
$3.3M
CSRD VA I01 CX001698NIA NIH HHS DP1 AG069873NIA NIH HHS P30 AG013846
6 · The paper itself

Abstract

Clinical Alzheimer's disease (AD) trials currently face a critical shortfall of thousands of eligible participants, which inflates the duration and cost of the clinical study as well as threatens the scientific merit of promising clinical interventions. This recruitment crisis is further compounded by the fact that underrepresented and marginalized populations-particularly those identifying as a racial or ethnic minority, those with low socioeconomic status, or living in rural areas-have been historically underrepresented in ongoing AD clinical trials despite overwhelming evidence that such populations are at increased risk for developing dementia. As a result of various recruitment barriers, current AD clinical studies frequently reflect a decreasingly representative segment of the US population, which threatens the overall generalizability of these findings. The current narrative review provides an updated examination and critique of common recruitment barriers and potential solutions, as well as a discussion of theoretical approaches that may address barriers disproportionately experienced by underrepresented communities. AD clinical researchers are encouraged to take purposive action aimed at increasing diversity of enrolled AD clinical trial cohorts by actively identifying and quantifying barriers to research participation-especially recruitment barriers and health disparities that disproportionately prevent underrepresented and marginalized populations from participating in research. Furthermore, researchers are encouraged to closely track which individuals who express interest in AD research ultimately enroll in research studies to examine whether AD research participation is appropriately representative of the intended population for whom these new and novel AD interventions are being designed.

Indexed as

Alzheimer DiseaseClinical Trials as TopicMinority GroupsPatient SelectionHumansAlzheimer’s diseasemodifiable barriersrecruitmentrecruitment interventionsretentionunderrepresented minorities

Identifiers

PMID33612540
PMCPMC8150544
OpenAlexW3130554957

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.